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Active NPI 1114231503 Individual Practitioner Male Practitioner

Kyle Logan Kennedy , NP-C

Nurse Practitioner • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Kyle Kennedy, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Saint Paul, MN. Practice services are available at 2550 UNIVERSITY AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2550 University Ave W
Suite 423 S

Saint Paul, MN 551141052

Telephone 6128711145
Fax 6128705491
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
171 Specialists

Practicing in Saint Paul, MN (2609 Statewide)

Telehealth Adoption Rate
16.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN A0710079

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kathryn O'morchoe , PA-C

Physician Assistant

NPI 1003135765

Physician Assistant (Certified)

Jennifer Krocak

Registered Nurse - Gastroenterology

NPI 1003748351
Dr. Erica Roberson , MD

Internal Medicine - Gastroenterology

NPI 1013975390

Doctor of Medicine (M.D.)

Dr. Zongyu Chen , MD

Internal Medicine - Gastroenterology

NPI 1013980440

Doctor of Medicine (M.D.)

Dr. Karin Gilkison , MD, MPH

Internal Medicine - Gastroenterology

NPI 1033435474

Doctor of Medicine (M.D.), Master of Public Health

Dr. Thomas Kaminsky , MD

Internal Medicine - Gastroenterology

NPI 1033524608

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 12, 2022

Registered at ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417 (Tel: 6124674100)

👤
Provider Name / Credentials Updated January 12, 2022

Recorded as KYLE KENNEDY, NP-C

NPI Profile Active July 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2010

Registered at 2550 UNIVERSITY AVE W, SUITE 423 S, SAINT PAUL, MN 551141052 (Tel: 6128711145)

📍
Updated Business Mailing Address July 28, 2010

Registered at PO BOX 14909, MINNEAPOLIS, MN 554140909 (Tel: 6128711145)

👤
Provider Name / Credentials Updated July 28, 2010

Recorded as KYLE DEXHEIMER, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2010

Nurse Practitioner (License #A0710079 in MN)

🟢
Initial NPI Registration & Enumeration July 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114231503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2010
Last Update: January 12, 2022
Sole Proprietor: No

Mailing Address

One Veterans Drive

Minneapolis, MN 55417

Phone: 6124674100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.